What are expected physical findings in viral meningitis?

Updated: Jul 16, 2019
  • Author: Rodrigo Hasbun, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

General physical findings in viral meningitis are common to all causative agents, but some viruses produce unique clinical manifestations that help focus the diagnostic approach. Enteroviral infection is suggested by the presence of the following:

  • Exanthemas

  • Symptoms of pericarditis, myocarditis, or conjunctivitis

  • Syndromes of pleurodynia, herpangina, and hand-foot-and-mouth disease

Increased blood pressure with bradycardia can also be present. Vomiting occurs in 35% of patients.


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